Pain Center Of Gwinnett | |
2000 Riverside Pkwy, Suite 206, Lawrenceville, GA 30043-5926 | |
(678) 407-8230 | |
(678) 407-8233 |
Full Name | Pain Center Of Gwinnett |
---|---|
Type | Facility |
Speciality | Family Medicine |
Location | 2000 Riverside Pkwy, Lawrenceville, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174811996 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIR002925 (Georgia) | Secondary |
207Q00000X | Family Medicine | 53982 (Georgia) | Primary |
363LF0000X | Nurse Practitioner - Family | RN198365 (Georgia) | Secondary |
Mailing Address | Practice Location Address |
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Pain Center Of Gwinnett 2000 Riverside Pkwy, Suite 206, Lawrenceville, GA 30043-5926 Ph: (678) 407-8230 | Pain Center Of Gwinnett 2000 Riverside Pkwy, Suite 206, Lawrenceville, GA 30043-5926 Ph: (678) 407-8230 |
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